To apply for a marriage license, fill in all the information below.

For help on any topic, click that topic's label
Use the TAB key to move between fields

Applicant 1 Information

Last Name:
First Name: Middle:

Address:
City/State/ZIP:
County:

Phone #: ( ) -
Birthplace:
Birthdate: / /
Age:

Father/Parent 1 Name:
Mother/Parent 2 Birth Name:

Occupation:

Number 0f Previous Marriages:
Widowed?:
Divorced?:

Most Recent Marriage Information

Date Divorced: / /
Case Number (If Divorced):
County:
Court (If Divorced):
State:

Last Spouse:
Minor Children:
Minor Children:
Minor Children:
Minor Children:
Minor Children:
Minor Children:


Applicant 2 Information

Last Name:
First Name: Middle:
Address:
City/State/ZIP:
County:

Phone #: ( ) -
Birthplace:
Birthdate: / /
Age:

Father/Parent 1 Name:
Mother/Parent 2 Birth Name:

Occupation:

Number of Previous Marriages:
Widowed?:
Divorced?:

Most Recent Marriage Information

Date Divorced: / /
Case Number (If Divorced):
County:
Court (If Divorced):
State:

Last Spouse:
Minor Children:
Minor Children:
Minor Children:
Minor Children:
Minor Children:
Minor Children:


Miscellaneous Information

Party To Solemnize: